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Study to Assess the Pharmacokinetics, Safety and Tolerability of Aztreonam-Avibactam in Healthy Chinese Participants.

A PHASE I, SINGLE CENTER, OPEN-LABEL STUDY TO ASSESS THE PHARMACOKINETICS, SAFETY AND TOLERABILITY OF AZTREONAM-AVIBACTAM ADMINISTERED AS SINGLE AND REPEATED INTRAVENOUS DOSES IN HEALTHY CHINESE PARTICIPANTS

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04973826
Enrollment
12
Registered
2021-07-22
Start date
2021-08-20
Completion date
2021-09-27
Last updated
2023-07-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

no clinically relevant abnormalities

Brief summary

A Phase 1, single center, single arm, open-label study to assess the PK, safety and tolerability of Aztreonam-Avibactam after single and repeated IV infusion of doses in healthy Chinese participants.

Interventions

500/167 mg ATM/AVI loading infusion, followed by 1500/500 mg ATM/AVI extended loading infusion, then 1500/500 mg ATM/AVI maintenance dose infusion every 6 hours

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy Chinese male and female participants * No clinical relevant abnormalities * willing and able to comply with all study procedures * BMI:17.5-30.5 * Sign informed consent

Exclusion criteria

* Any clinical significant illness * History of alcohol abuse * Use within 14 days prior the first study dose * CL\>80ml/min * Abnormal vital signs, such 12-ECG, blood pressure and pulse rate * Blood donation within 60days * History of HIV, HBsAg, HBcAb, HCVAb * Other medical or psychiatric may inappropriate for the study

Design outcomes

Primary

MeasureTime frameDescription
Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4Cmax was the maximum observed plasma concentration and was directly observed from data. Concentration values below the lower limit of quantification (LLQ) were set to zero. Geometric Mean analysis was on the log scale. Zero values were not included in geometric mean and geometric coefficient of variation calculation. The geometric coefficient of variation is expressed in percentage.
Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4Cmax was the maximum observed plasma concentration and was directly observed from data. Concentration values below the lower limit of quantification (LLQ) were set to zero. Geometric Mean analysis was on the log scale. Zero values were not included in geometric mean and geometric coefficient of variation calculation. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time 0 to 6 Hours (AUC6) on Day 1 of AztreonamPost dose on day 1The area under the plasma drug concentration-time curve (AUC) was estimated from time 0 to 6 hours post dose. AUC6 was computed using the Linear/Log trapezoidal method. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time 0 to 6 Hours (AUC6) on Day 1 of AvibactamPost dose on day 1The area under the plasma drug concentration-time curve (AUC) was estimated from time 0 to 6 hours post dose. AUC6 was computed using the Linear/Log trapezoidal method. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4AUClast is area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4AUClast is area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4AUC24 was defined as area under the plasma concentration-time profile from time zero to 24 hours post dose. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4AUC24 was defined as area under the plasma concentration-time profile from time zero to 24 hours post dose. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4AUCinf was defined as area under the plasma concentration-time curve from time zero to infinity. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4AUCinf was defined as area under the plasma concentration-time curve from time zero to infinity. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the End of the Dosing Interval (τ), Where τ=6 Hours (AUCtau) on Day 4 of AztreonamPost dose on day 4AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the End of the Dosing Interval (τ), Where τ=6 Hours (AUCtau) on Day 4 of AvibactamPost dose on day 4AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.
Total Daily Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours at Steady-State (AUC24,ss) on Day 4 of AztreonamPost dose on day 4AUC24,ss was defined as total daily area under the plasma concentration-time profile from time 0 to 24 hours at steady-state. The geometric coefficient of variation is expressed in percentage.
Total Daily Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours at Steady-State (AUC24,ss) on Day 4 of AvibactamPost dose on day 4AUC24,ss was defined as total daily area under the plasma concentration-time profile from time 0 to 24 hours at steady-state. The geometric coefficient of variation is expressed in percentage.
Renal Clearance (CLr) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4CLr was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.
Renal Clearance (CLr) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4CLr was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

Secondary

MeasureTime frameDescription
Number of Participants With Abnormal Electrocardiograms (ECGs)From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)ECG categorical summarization criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (\>=) 300 millisecond (msec), b) \>=25% increase when baseline is \> 200 msec or \>=50% increase when baseline is less than or equal to (\<=) 200 msec. 2\. QRS duration (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) \>=140 msec, b) \>=50% increase from baseline. 3\. QTcF interval (QT corrected using the Fridericia formula): a) \>450 msec and \<=480 msec, b) \>480 msec and \<=500 msec, c) \>500 msec, d) \>30 msec and \<=60 msec increase from baseline, e) \>60 msec increase from baseline.
Clearance (CL) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4CL was a quantitative measure of the rate at which a drug substance was removed from the body. The geometric coefficient of variation is expressed in percentage.
Number of Participants With Abnormal Laboratory AssessmentsFrom the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)Following laboratory parameters were assessed against pre-defined abnormality criteria: hematology (basophils); clinical chemistry (urate); urinalysis (urine hemoglobin, nitrite, urine erythrocytes).
Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4Plasma terminal elimination half-life (T1/2) is the time measured for the plasma concentration to decrease by one half at the terminal phase.
Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4Plasma terminal elimination half-life (T1/2) is the time measured for the plasma concentration to decrease by one half at the terminal phase.
Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4Apparent volume of distribution (Vz) was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss was the Vz at steady-state. The geometric coefficient of variation is expressed in percentage.
Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss was the Vz at steady-state. The geometric coefficient of variation is expressed in percentage.
Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. The geometric coefficient of variation is expressed in percentage.
Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. The geometric coefficient of variation is expressed in percentage.
Clearance (CL) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4CL was a quantitative measure of the rate at which a drug substance was removed from the body. The geometric coefficient of variation is expressed in percentage.
Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of AztreonamPost dose on day 1 and day 4Tmax was defined as time to reach maximum observed plasma concentration.
Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of AvibactamPost dose on day 1 and day 4Tmax was defined as time to reach maximum observed plasma concentration.
Accumulation Ratio for Cmax (Rac,Cmax) on Day 4 of AztreonamPost dose on day 4Accumulation ratio based on maximum plasma concentration (Rac,cmax) was calculated as: Rac,Cmax = Cmax at steady state (Day 4) divided by Cmax at first dose (Day 1). The geometric coefficient of variation is expressed in percentage.
Accumulation Ratio for Cmax (Rac,Cmax) on Day 4 of AvibactamPost dose on day 4Accumulation ratio based on maximum plasma concentration (Rac,cmax) was calculated as: Rac,Cmax = Cmax at steady state (Day 4) divided by Cmax at first dose (Day 1). The geometric coefficient of variation is expressed in percentage.
Accumulation Ratio for AUCτ Following Multiple Dosing (Rac) on Day 4 of AztreonamPost dose on day 4Rac was obtained from AUCtau at steady state (Day 4) divided by AUCtau after single dose (Day 1). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.
Accumulation Ratio for AUCτ Following Multiple Dosing (Rac) on Day 4 of AvibactamPost dose on day 4Rac was obtained from AUCtau at steady state (Day 4) divided by AUCtau after single dose (Day 1). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.
Number of Participants With an Adverse Event (AE)From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent adverse event (TEAE) means event between first dose of study treatment and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of death; inpatient hospitalization; life-threatening experience; disability; congenital anomaly or deemed significant for any other reason. Symptoms of infusion-related reactions (IRRs) may include, but were not limited to, fever, chills, flushing, hypotension, dyspnea, wheezing, back pain, abdominal pain, and urticaria. Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE.
Number of Participants With Abnormal Vital SignsFrom the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)Criteria for vital signs abnormalities: increase or decrease from baseline in supine Systolic Blood Pressure (SBP) \>=30 mm Hg and increase or decrease from baseline in supine Diastolic Blood Pressure (DBP) \>=20 mm Hg.

Countries

China

Participant flow

Pre-assignment details

A total of 12 participants received assigned treatment of AZTREONAM-AVIBACTAM (ATM-AVI) and completed the treatment and follow-up phases.

Participants by arm

ArmCount
AZTREONAM-AVIBACTAM (ATM-AVI)
ATM-AVI was dosed in a fixed 3:1 ratio (ATM:AVI=3:1) in 12 healthy participants. On Day 1, participants received a 3-hour intravenous (IV) infusion of a single dose of 1500 mg ATM plus 500 mg AVI. On Day 2, participants received a loading (500 mg ATM plus 167 mg AVI infused over a 30-minute period)/extended loading dose (1500 mg ATM plus 500 mg AVI over a 3-hour period), followed by multiple maintenance doses of ATM-AVI IV infusion: 1500 mg ATM and 500 mg AVI were infused over 3 hours and administered every 6 hours (q6h) till morning of Study Day 4.
12
Total12

Baseline characteristics

CharacteristicAZTREONAM-AVIBACTAM (ATM-AVI)
Age, Continuous27.08 Years
STANDARD_DEVIATION 5.3
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Race/Ethnicity, Customized
Asian
12 Participants
Sex: Female, Male
Female
4 Participants
Sex: Female, Male
Male
8 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 12
other
Total, other adverse events
2 / 12
serious
Total, serious adverse events
0 / 12

Outcome results

Primary

Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of Avibactam

AUC24 was defined as area under the plasma concentration-time profile from time zero to 24 hours post dose. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of AvibactamDay 147.33 ug*hr/mLGeometric Coefficient of Variation 15
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of AvibactamDay 449.47 ug*hr/mLGeometric Coefficient of Variation 18
Primary

Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of Aztreonam

AUC24 was defined as area under the plasma concentration-time profile from time zero to 24 hours post dose. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of AztreonamDay 1289.6 ug*hr/mLGeometric Coefficient of Variation 14
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours (AUC24) on Day 1 & 4 of AztreonamDay 4337.5 ug*hr/mLGeometric Coefficient of Variation 15
Primary

Area Under the Plasma Concentration-Time Profile From Time 0 to 6 Hours (AUC6) on Day 1 of Avibactam

The area under the plasma drug concentration-time curve (AUC) was estimated from time 0 to 6 hours post dose. AUC6 was computed using the Linear/Log trapezoidal method. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time 0 to 6 Hours (AUC6) on Day 1 of Avibactam42.36 ng*hr/mLGeometric Coefficient of Variation 15
Primary

Area Under the Plasma Concentration-Time Profile From Time 0 to 6 Hours (AUC6) on Day 1 of Aztreonam

The area under the plasma drug concentration-time curve (AUC) was estimated from time 0 to 6 hours post dose. AUC6 was computed using the Linear/Log trapezoidal method. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time 0 to 6 Hours (AUC6) on Day 1 of Aztreonam236.7 nanograms/millilitre/hour (ng*hr/mL)Geometric Coefficient of Variation 14
Primary

Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the End of the Dosing Interval (τ), Where τ=6 Hours (AUCtau) on Day 4 of Avibactam

AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the End of the Dosing Interval (τ), Where τ=6 Hours (AUCtau) on Day 4 of Avibactam44.41 ug*hr/mLGeometric Coefficient of Variation 16
Primary

Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the End of the Dosing Interval (τ), Where τ=6 Hours (AUCtau) on Day 4 of Aztreonam

AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the End of the Dosing Interval (τ), Where τ=6 Hours (AUCtau) on Day 4 of Aztreonam285.2 ug*hr/mLGeometric Coefficient of Variation 14
Primary

Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of Avibactam

AUCinf was defined as area under the plasma concentration-time curve from time zero to infinity. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of AvibactamDay 147.29 ug*hr/mLGeometric Coefficient of Variation 15
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of AvibactamDay 449.59 ug*hr/mLGeometric Coefficient of Variation 18
Primary

Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of Aztreonam

AUCinf was defined as area under the plasma concentration-time curve from time zero to infinity. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of AztreonamDay 1289.2 ug*hr/mLGeometric Coefficient of Variation 14
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) on Day 1 & 4 of AztreonamDay 4337.6 ug*hr/mLGeometric Coefficient of Variation 15
Primary

Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of Avibactam

AUClast is area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of AvibactamDay 147.23 ug*hr/mLGeometric Coefficient of Variation 15
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of AvibactamDay 449.47 ug*hr/mLGeometric Coefficient of Variation 18
Primary

Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of Aztreonam

AUClast is area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of AztreonamDay 1287.8 ug*hr/mLGeometric Coefficient of Variation 14
AZTREONAM-AVIBACTAM (ATM-AVI)Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) on Day 1 & 4 of AztreonamDay 4336.4 ug*hr/mLGeometric Coefficient of Variation 15
Primary

Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of Avibactam

Cmax was the maximum observed plasma concentration and was directly observed from data. Concentration values below the lower limit of quantification (LLQ) were set to zero. Geometric Mean analysis was on the log scale. Zero values were not included in geometric mean and geometric coefficient of variation calculation. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of AvibactamDay 113.93 ug/mLGeometric Coefficient of Variation 16
AZTREONAM-AVIBACTAM (ATM-AVI)Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of AvibactamDay 414.03 ug/mLGeometric Coefficient of Variation 14
Primary

Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of Aztreonam

Cmax was the maximum observed plasma concentration and was directly observed from data. Concentration values below the lower limit of quantification (LLQ) were set to zero. Geometric Mean analysis was on the log scale. Zero values were not included in geometric mean and geometric coefficient of variation calculation. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of AztreonamDay 169.44 micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 15
AZTREONAM-AVIBACTAM (ATM-AVI)Maximum Observed Plasma Concentration (Cmax) on Day 1 & 4 of AztreonamDay 479.66 micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 12
Primary

Renal Clearance (CLr) on Day 1 & 4 of Avibactam

CLr was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Renal Clearance (CLr) on Day 1 & 4 of AvibactamDay 112.09 litre per hour (L/hr)Geometric Coefficient of Variation 18
AZTREONAM-AVIBACTAM (ATM-AVI)Renal Clearance (CLr) on Day 1 & 4 of AvibactamDay 412.65 litre per hour (L/hr)Geometric Coefficient of Variation 25
Primary

Renal Clearance (CLr) on Day 1 & 4 of Aztreonam

CLr was calculated as cumulative amount of drug recovered unchanged in urine during the dosing interval (Ae) divided by area under the plasma concentration time-curve from time zero to end of dosing interval (AUCtau). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Renal Clearance (CLr) on Day 1 & 4 of AztreonamDay 14.277 litre per hour (L/hr)Geometric Coefficient of Variation 14
AZTREONAM-AVIBACTAM (ATM-AVI)Renal Clearance (CLr) on Day 1 & 4 of AztreonamDay 44.487 litre per hour (L/hr)Geometric Coefficient of Variation 23
Primary

Total Daily Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours at Steady-State (AUC24,ss) on Day 4 of Avibactam

AUC24,ss was defined as total daily area under the plasma concentration-time profile from time 0 to 24 hours at steady-state. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Total Daily Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours at Steady-State (AUC24,ss) on Day 4 of Avibactam177.7 ug*hr/mLGeometric Coefficient of Variation 16
Primary

Total Daily Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours at Steady-State (AUC24,ss) on Day 4 of Aztreonam

AUC24,ss was defined as total daily area under the plasma concentration-time profile from time 0 to 24 hours at steady-state. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Total Daily Area Under the Plasma Concentration-Time Profile From Time 0 to 24 Hours at Steady-State (AUC24,ss) on Day 4 of Aztreonam1142 ug*hr/mLGeometric Coefficient of Variation 14
Secondary

Accumulation Ratio for AUCτ Following Multiple Dosing (Rac) on Day 4 of Avibactam

Rac was obtained from AUCtau at steady state (Day 4) divided by AUCtau after single dose (Day 1). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Accumulation Ratio for AUCτ Following Multiple Dosing (Rac) on Day 4 of Avibactam1.049 ratioGeometric Coefficient of Variation 6
Secondary

Accumulation Ratio for AUCτ Following Multiple Dosing (Rac) on Day 4 of Aztreonam

Rac was obtained from AUCtau at steady state (Day 4) divided by AUCtau after single dose (Day 1). AUCtau was defined as area under the concentration-time profile from time 0 to time tau. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Accumulation Ratio for AUCτ Following Multiple Dosing (Rac) on Day 4 of Aztreonam1.204 ratioGeometric Coefficient of Variation 6
Secondary

Accumulation Ratio for Cmax (Rac,Cmax) on Day 4 of Avibactam

Accumulation ratio based on maximum plasma concentration (Rac,cmax) was calculated as: Rac,Cmax = Cmax at steady state (Day 4) divided by Cmax at first dose (Day 1). The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Accumulation Ratio for Cmax (Rac,Cmax) on Day 4 of Avibactam1.006 ratioGeometric Coefficient of Variation 7
Secondary

Accumulation Ratio for Cmax (Rac,Cmax) on Day 4 of Aztreonam

Accumulation ratio based on maximum plasma concentration (Rac,cmax) was calculated as: Rac,Cmax = Cmax at steady state (Day 4) divided by Cmax at first dose (Day 1). The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Accumulation Ratio for Cmax (Rac,Cmax) on Day 4 of Aztreonam1.149 ratioGeometric Coefficient of Variation 5
Secondary

Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of Avibactam

Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss was the Vz at steady-state. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of AvibactamDay 121.36 LiterGeometric Coefficient of Variation 14
AZTREONAM-AVIBACTAM (ATM-AVI)Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of AvibactamDay 417.96 LiterGeometric Coefficient of Variation 16
Secondary

Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of Aztreonam

Apparent volume of distribution (Vz) was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Vss was the Vz at steady-state. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of AztreonamDay 113.69 LiterGeometric Coefficient of Variation 15
AZTREONAM-AVIBACTAM (ATM-AVI)Apparent Volume of Distribution at Steady-State (Vss) on Day 1 & 4 of AztreonamDay 412.81 LiterGeometric Coefficient of Variation 15
Secondary

Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of Avibactam

Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of AvibactamDay 130.14 LiterGeometric Coefficient of Variation 22
AZTREONAM-AVIBACTAM (ATM-AVI)Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of AvibactamDay 465.41 LiterGeometric Coefficient of Variation 26
Secondary

Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of Aztreonam

Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of AztreonamDay 114.09 LiterGeometric Coefficient of Variation 16
AZTREONAM-AVIBACTAM (ATM-AVI)Apparent Volume of Distribution During Terminal Phase (Vz) on Day 1 & 4 of AztreonamDay 414.22 LiterGeometric Coefficient of Variation 16
Secondary

Clearance (CL) on Day 1 & 4 of Avibactam

CL was a quantitative measure of the rate at which a drug substance was removed from the body. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Clearance (CL) on Day 1 & 4 of AvibactamDay 110.56 litre per hour (L/hr)Geometric Coefficient of Variation 15
AZTREONAM-AVIBACTAM (ATM-AVI)Clearance (CL) on Day 1 & 4 of AvibactamDay 411.26 litre per hour (L/hr)Geometric Coefficient of Variation 16
Secondary

Clearance (CL) on Day 1 & 4 of Aztreonam

CL was a quantitative measure of the rate at which a drug substance was removed from the body. The geometric coefficient of variation is expressed in percentage.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Clearance (CL) on Day 1 & 4 of AztreonamDay 15.188 litre per hour (L/hr)Geometric Coefficient of Variation 14
AZTREONAM-AVIBACTAM (ATM-AVI)Clearance (CL) on Day 1 & 4 of AztreonamDay 45.261 litre per hour (L/hr)Geometric Coefficient of Variation 14
Secondary

Number of Participants With Abnormal Electrocardiograms (ECGs)

ECG categorical summarization criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (\>=) 300 millisecond (msec), b) \>=25% increase when baseline is \> 200 msec or \>=50% increase when baseline is less than or equal to (\<=) 200 msec. 2\. QRS duration (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) \>=140 msec, b) \>=50% increase from baseline. 3\. QTcF interval (QT corrected using the Fridericia formula): a) \>450 msec and \<=480 msec, b) \>480 msec and \<=500 msec, c) \>500 msec, d) \>30 msec and \<=60 msec increase from baseline, e) \>60 msec increase from baseline.

Time frame: From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)

Population: The safety analysis set included all healthy Chinese participants who received at least one dose of investigational product (ATM-AVI).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Electrocardiograms (ECGs)PR INTERVAL NOT OTHERWISE SPECIFIED (msec): %Change >= 25/50%0 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Electrocardiograms (ECGs)QRS INTERVAL NOT OTHERWISE SPECIFIED (msec): %Change >= 50%0 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (msec): 30 < Change <= 600 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (msec): Change > 600 Participants
Secondary

Number of Participants With Abnormal Laboratory Assessments

Following laboratory parameters were assessed against pre-defined abnormality criteria: hematology (basophils); clinical chemistry (urate); urinalysis (urine hemoglobin, nitrite, urine erythrocytes).

Time frame: From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)

Population: The safety analysis set included all healthy Chinese participants who received at least one dose of investigational product (ATM-AVI).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Laboratory AssessmentsHEMATOLOGY: Basophils (10^3/mm^3) > 1.2x upper limit of normal (ULN)1 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Laboratory AssessmentsCLINICAL CHEMISTRY: Urate (mg/dL) > 1.2x ULN1 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Laboratory AssessmentsURINALYSIS: URINE Hemoglobin >= 13 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Laboratory AssessmentsURINALYSIS: URINE Erythrocytes >= 202 Participants
Secondary

Number of Participants With Abnormal Vital Signs

Criteria for vital signs abnormalities: increase or decrease from baseline in supine Systolic Blood Pressure (SBP) \>=30 mm Hg and increase or decrease from baseline in supine Diastolic Blood Pressure (DBP) \>=20 mm Hg.

Time frame: From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)

Population: The safety analysis set included all healthy Chinese participants who received at least one dose of investigational product (ATM-AVI).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Vital SignsSupine Diastolic Blood Pressure (mmHg): Change >= 20 mmHg increase from baseline0 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Vital SignsSupine Systolic Blood Pressure (mmHg): Change >= 30 mmHg increase from baseline0 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Vital SignsSupine Diastolic Blood Pressure (mmHg): Change >= 20 mmHg decrease from baseline0 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With Abnormal Vital SignsSupine Systolic Blood Pressure (mmHg): Change >= 30 mmHg decrease from baseline0 Participants
Secondary

Number of Participants With an Adverse Event (AE)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent adverse event (TEAE) means event between first dose of study treatment and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of death; inpatient hospitalization; life-threatening experience; disability; congenital anomaly or deemed significant for any other reason. Symptoms of infusion-related reactions (IRRs) may include, but were not limited to, fever, chills, flushing, hypotension, dyspnea, wheezing, back pain, abdominal pain, and urticaria. Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE.

Time frame: From the first dose of study treatment to the last dose of study treatment date +28 +7 days (up to 2 months)

Population: The safety analysis set included all healthy Chinese participants who received at least one dose of investigational product (ATM-AVI).

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With an Adverse Event (AE)Participants with treatment-emergent adverse events (all-causality)2 Participants
AZTREONAM-AVIBACTAM (ATM-AVI)Number of Participants With an Adverse Event (AE)Participants with treatment-emergent adverse events (treatment-related)1 Participants
Secondary

Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of Avibactam

Plasma terminal elimination half-life (T1/2) is the time measured for the plasma concentration to decrease by one half at the terminal phase.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of AvibactamDay 12.003 hoursStandard Deviation 0.34613
AZTREONAM-AVIBACTAM (ATM-AVI)Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of AvibactamDay 44.061 hoursStandard Deviation 0.5918
Secondary

Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of Aztreonam

Plasma terminal elimination half-life (T1/2) is the time measured for the plasma concentration to decrease by one half at the terminal phase.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (MEAN)Dispersion
AZTREONAM-AVIBACTAM (ATM-AVI)Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of AztreonamDay 11.890 hoursStandard Deviation 0.16597
AZTREONAM-AVIBACTAM (ATM-AVI)Terminal Elimination Half-Life (T1/2) on Day 1 & 4 of AztreonamDay 41.886 hoursStandard Deviation 0.20304
Secondary

Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of Avibactam

Tmax was defined as time to reach maximum observed plasma concentration.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (MEDIAN)
AZTREONAM-AVIBACTAM (ATM-AVI)Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of AvibactamDay 12.44 hours
AZTREONAM-AVIBACTAM (ATM-AVI)Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of AvibactamDay 42.46 hours
Secondary

Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of Aztreonam

Tmax was defined as time to reach maximum observed plasma concentration.

Time frame: Post dose on day 1 and day 4

Population: The analysis population included all participants who received at least one dose of investigational product (ATM-AVI) and had at least one of the PK parameters of interest.

ArmMeasureGroupValue (MEDIAN)
AZTREONAM-AVIBACTAM (ATM-AVI)Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of AztreonamDay 12.92 hours
AZTREONAM-AVIBACTAM (ATM-AVI)Time of Observed Maximum Plasma Concentration (Tmax) on Day 1 & 4 of AztreonamDay 42.92 hours

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026